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General NPI Number Information
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NPI Number | 1861461154
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Entity Type | Organization
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Legal Business Name | S & S DRUGS, INC.
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 110 S MILL ST
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City | BELOIT
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State | KS
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Zip | 67420-3237
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Country | US
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Telephone | 785-738-2285
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Fax | 785-738-5144
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Provider Business Mailing Address
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Address Line | PO BOX 525
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City | BELOIT
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State | KS
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Zip | 67420-0525
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Country | US
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Telephone | 785-738-2285
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Fax | 785-438-5144
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Authorized Official
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Title or Position | OWNER
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Name | MR. MAX HEIDRICK
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Credential | RPH
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Telephone | 785-738-2285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 109015
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License Number State | KS
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